Restoration of elbow extension via functional electrical stimulation in individuals with tetraplegia
Functional electrical stimulation of the triceps is a method of restoring elbow extension to individuals with paralyzed triceps. Eleven arms of individuals with cervical-level spinal cord injuries (SCIs) received a triceps electrode as an addition to a hand-grasp neuroprosthesis. Stimulation was con...
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| Veröffentlicht in: | Journal of rehabilitation research and development 2003-11, Vol.40 (6), p.477-486 |
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| creator | MEMBERG, William D CRAGO, Patrick E KEITH, Michael W |
| description | Functional electrical stimulation of the triceps is a method of restoring elbow extension to individuals with paralyzed triceps. Eleven arms of individuals with cervical-level spinal cord injuries (SCIs) received a triceps electrode as an addition to a hand-grasp neuroprosthesis. Stimulation was controlled either as part of a preprogrammed pattern or via a switch or an accelerometer that was connected to the neuroprosthesis external controller. The outcome measures were (1) elbow extension moments at different elbow positions, (2) performance in controllable workspace experiments, and (3) comparison to an alternative method of providing elbow extension in these individuals--a posterior deltoid (PD) to triceps tendon transfer. Stimulated elbow extension moments in 11 arms ranged from 0.8 to 13.3 N.m. The stimulated elbow extension moments varied with elbow angle in a manner consistent with the length-tension properties of the triceps. Triceps stimulation provided a significantly stronger elbow extension moment than the PD to triceps tendon transfer. The elbow extension moment generated by the tendon transfer and triceps electrode being activated together was always greater than either method used separately. Stimulation of the long head of the triceps should be avoided in persons with weak shoulder abduction, since the long head adducts the shoulder and limits shoulder function in these cases. Statistically, elbow extension neuroprostheses significantly increased the ability to successfully reach and move an object and significantly decreased the time required to acquire an object while reaching. |
| doi_str_mv | 10.1682/JRRD.2003.11.0477 |
| format | Article |
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Eleven arms of individuals with cervical-level spinal cord injuries (SCIs) received a triceps electrode as an addition to a hand-grasp neuroprosthesis. Stimulation was controlled either as part of a preprogrammed pattern or via a switch or an accelerometer that was connected to the neuroprosthesis external controller. The outcome measures were (1) elbow extension moments at different elbow positions, (2) performance in controllable workspace experiments, and (3) comparison to an alternative method of providing elbow extension in these individuals--a posterior deltoid (PD) to triceps tendon transfer. Stimulated elbow extension moments in 11 arms ranged from 0.8 to 13.3 N.m. The stimulated elbow extension moments varied with elbow angle in a manner consistent with the length-tension properties of the triceps. Triceps stimulation provided a significantly stronger elbow extension moment than the PD to triceps tendon transfer. The elbow extension moment generated by the tendon transfer and triceps electrode being activated together was always greater than either method used separately. Stimulation of the long head of the triceps should be avoided in persons with weak shoulder abduction, since the long head adducts the shoulder and limits shoulder function in these cases. Statistically, elbow extension neuroprostheses significantly increased the ability to successfully reach and move an object and significantly decreased the time required to acquire an object while reaching.</description><identifier>ISSN: 0748-7711</identifier><identifier>EISSN: 1938-1352</identifier><identifier>DOI: 10.1682/JRRD.2003.11.0477</identifier><identifier>PMID: 15077660</identifier><identifier>CODEN: JRRDDB</identifier><language>eng</language><publisher>Baltimore, MD: Rehabilitation Research and Development Service</publisher><subject>Analysis of Variance ; Biological and medical sciences ; Combined Modality Therapy ; Diseases of the osteoarticular system ; Elbow ; Elbow Joint - innervation ; Elbow Joint - physiology ; Electric Stimulation Therapy - methods ; Electrodes, Implanted ; Female ; General aspects ; Humans ; Injury Severity Score ; Male ; Medical procedures ; Medical sciences ; Muscle Contraction - physiology ; Muscle, Skeletal - innervation ; Muscle, Skeletal - physiology ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Occupational Therapy - methods ; Probability ; Prospective Studies ; Prostheses ; Quadriplegia - diagnosis ; Quadriplegia - rehabilitation ; Range of Motion, Articular - physiology ; Recovery of Function ; Sampling Studies ; Spinal cord injuries ; Spinal Cord Injuries - diagnosis ; Spinal Cord Injuries - rehabilitation ; Tendon Transfer - methods ; Tendons ; Traumas. Diseases due to physical agents ; Treatment Outcome</subject><ispartof>Journal of rehabilitation research and development, 2003-11, Vol.40 (6), p.477-486</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Superintendent of Documents Nov/Dec 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-9f26e187c05e5e83617ce8d6b143238c8b89a00f60ea2592e993c17c3b7ae1ae3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27913,27914</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15598466$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15077660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MEMBERG, William D</creatorcontrib><creatorcontrib>CRAGO, Patrick E</creatorcontrib><creatorcontrib>KEITH, Michael W</creatorcontrib><title>Restoration of elbow extension via functional electrical stimulation in individuals with tetraplegia</title><title>Journal of rehabilitation research and development</title><addtitle>J Rehabil Res Dev</addtitle><description>Functional electrical stimulation of the triceps is a method of restoring elbow extension to individuals with paralyzed triceps. Eleven arms of individuals with cervical-level spinal cord injuries (SCIs) received a triceps electrode as an addition to a hand-grasp neuroprosthesis. Stimulation was controlled either as part of a preprogrammed pattern or via a switch or an accelerometer that was connected to the neuroprosthesis external controller. The outcome measures were (1) elbow extension moments at different elbow positions, (2) performance in controllable workspace experiments, and (3) comparison to an alternative method of providing elbow extension in these individuals--a posterior deltoid (PD) to triceps tendon transfer. Stimulated elbow extension moments in 11 arms ranged from 0.8 to 13.3 N.m. The stimulated elbow extension moments varied with elbow angle in a manner consistent with the length-tension properties of the triceps. Triceps stimulation provided a significantly stronger elbow extension moment than the PD to triceps tendon transfer. The elbow extension moment generated by the tendon transfer and triceps electrode being activated together was always greater than either method used separately. Stimulation of the long head of the triceps should be avoided in persons with weak shoulder abduction, since the long head adducts the shoulder and limits shoulder function in these cases. Statistically, elbow extension neuroprostheses significantly increased the ability to successfully reach and move an object and significantly decreased the time required to acquire an object while reaching.</description><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Combined Modality Therapy</subject><subject>Diseases of the osteoarticular system</subject><subject>Elbow</subject><subject>Elbow Joint - innervation</subject><subject>Elbow Joint - physiology</subject><subject>Electric Stimulation Therapy - methods</subject><subject>Electrodes, Implanted</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Medical procedures</subject><subject>Medical sciences</subject><subject>Muscle Contraction - physiology</subject><subject>Muscle, Skeletal - innervation</subject><subject>Muscle, Skeletal - physiology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Occupational Therapy - methods</subject><subject>Probability</subject><subject>Prospective Studies</subject><subject>Prostheses</subject><subject>Quadriplegia - diagnosis</subject><subject>Quadriplegia - rehabilitation</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recovery of Function</subject><subject>Sampling Studies</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - diagnosis</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Tendon Transfer - methods</subject><subject>Tendons</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0748-7711</issn><issn>1938-1352</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkFtr3DAQRkVp6G6S_oC-FFNo3rzRSLYujyVpbgQKS_IsZHncavHaW0lOmn8fmV1ICQhGzJxvYA4hX4CuQCh2frdeX64YpXwFsKKVlB_IEjRXJfCafSRLKitVSgmwIMcxbiiljDP4RBZQUymFoEvSrjGmMdjkx6EYuwL7Znwu8F_CIc6tJ2-LbhrcPLd9HqNLwbv8jclvp34f9PNr_ZNvJ9vH4tmnP0XCFOyux9_enpKjLvfx86GekMernw8XN-X9r-vbix_3peNaplJ3TCAo6WiNNSouQDpUrWig4owrpxqlLaWdoGhZrRlqzV1meCMtgkV-Qs72e3dh_Dvlw8zWR4d9bwccp2gk1Kpilc7gt3fgZpxCPjAaBjVTGhTPEOwhF8YYA3ZmF_zWhhcD1Mz-zezfzP4NgJn958zXw-Kp2WL7ljgIz8D3A2BjttgFOzgf_-NqrSoh-CsSjY8W</recordid><startdate>20031101</startdate><enddate>20031101</enddate><creator>MEMBERG, William D</creator><creator>CRAGO, Patrick E</creator><creator>KEITH, Michael W</creator><general>Rehabilitation Research and Development Service</general><general>Superintendent of Documents</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20031101</creationdate><title>Restoration of elbow extension via functional electrical stimulation in individuals with tetraplegia</title><author>MEMBERG, William D ; CRAGO, Patrick E ; KEITH, Michael W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-9f26e187c05e5e83617ce8d6b143238c8b89a00f60ea2592e993c17c3b7ae1ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Combined Modality Therapy</topic><topic>Diseases of the osteoarticular system</topic><topic>Elbow</topic><topic>Elbow Joint - innervation</topic><topic>Elbow Joint - physiology</topic><topic>Electric Stimulation Therapy - methods</topic><topic>Electrodes, Implanted</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Medical procedures</topic><topic>Medical sciences</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle, Skeletal - innervation</topic><topic>Muscle, Skeletal - physiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Occupational Therapy - methods</topic><topic>Probability</topic><topic>Prospective Studies</topic><topic>Prostheses</topic><topic>Quadriplegia - diagnosis</topic><topic>Quadriplegia - rehabilitation</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recovery of Function</topic><topic>Sampling Studies</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - diagnosis</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Tendon Transfer - methods</topic><topic>Tendons</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MEMBERG, William D</creatorcontrib><creatorcontrib>CRAGO, Patrick E</creatorcontrib><creatorcontrib>KEITH, Michael W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rehabilitation research and development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MEMBERG, William D</au><au>CRAGO, Patrick E</au><au>KEITH, Michael W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Restoration of elbow extension via functional electrical stimulation in individuals with tetraplegia</atitle><jtitle>Journal of rehabilitation research and development</jtitle><addtitle>J Rehabil Res Dev</addtitle><date>2003-11-01</date><risdate>2003</risdate><volume>40</volume><issue>6</issue><spage>477</spage><epage>486</epage><pages>477-486</pages><issn>0748-7711</issn><eissn>1938-1352</eissn><coden>JRRDDB</coden><abstract>Functional electrical stimulation of the triceps is a method of restoring elbow extension to individuals with paralyzed triceps. Eleven arms of individuals with cervical-level spinal cord injuries (SCIs) received a triceps electrode as an addition to a hand-grasp neuroprosthesis. Stimulation was controlled either as part of a preprogrammed pattern or via a switch or an accelerometer that was connected to the neuroprosthesis external controller. The outcome measures were (1) elbow extension moments at different elbow positions, (2) performance in controllable workspace experiments, and (3) comparison to an alternative method of providing elbow extension in these individuals--a posterior deltoid (PD) to triceps tendon transfer. Stimulated elbow extension moments in 11 arms ranged from 0.8 to 13.3 N.m. The stimulated elbow extension moments varied with elbow angle in a manner consistent with the length-tension properties of the triceps. Triceps stimulation provided a significantly stronger elbow extension moment than the PD to triceps tendon transfer. The elbow extension moment generated by the tendon transfer and triceps electrode being activated together was always greater than either method used separately. Stimulation of the long head of the triceps should be avoided in persons with weak shoulder abduction, since the long head adducts the shoulder and limits shoulder function in these cases. Statistically, elbow extension neuroprostheses significantly increased the ability to successfully reach and move an object and significantly decreased the time required to acquire an object while reaching.</abstract><cop>Baltimore, MD</cop><pub>Rehabilitation Research and Development Service</pub><pmid>15077660</pmid><doi>10.1682/JRRD.2003.11.0477</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; U.S. Government Documents |
| subjects | Analysis of Variance Biological and medical sciences Combined Modality Therapy Diseases of the osteoarticular system Elbow Elbow Joint - innervation Elbow Joint - physiology Electric Stimulation Therapy - methods Electrodes, Implanted Female General aspects Humans Injury Severity Score Male Medical procedures Medical sciences Muscle Contraction - physiology Muscle, Skeletal - innervation Muscle, Skeletal - physiology Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Occupational Therapy - methods Probability Prospective Studies Prostheses Quadriplegia - diagnosis Quadriplegia - rehabilitation Range of Motion, Articular - physiology Recovery of Function Sampling Studies Spinal cord injuries Spinal Cord Injuries - diagnosis Spinal Cord Injuries - rehabilitation Tendon Transfer - methods Tendons Traumas. Diseases due to physical agents Treatment Outcome |
| title | Restoration of elbow extension via functional electrical stimulation in individuals with tetraplegia |
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